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General NPI Number Information
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NPI Number | 1912183492
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Entity Type | Organization
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Legal Business Name | HEALTH 1ST OF ANDERSON
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 2976 N SCATTERFIELD RD SUITE 101
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City | ANDERSON
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State | IN
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Zip | 46012-1585
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Country | US
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Telephone | 765-643-8781
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Fax |
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Provider Business Mailing Address
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Address Line | 2976 N SCATTERFIELD RD SUITE 101
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City | ANDERSON
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State | IN
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Zip | 46012-1585
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Country | US
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Telephone | 765-643-8781
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID DUNHAM
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Credential |
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Telephone | 765-643-8781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01047723A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05008202A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08001691A
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License Number State | IN
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